What’s happening in India?
Is the pandemic burning out? How? Where is the post Diwali surge that we worried about? #COVID19

I wrote about India in August. I was convinced that cross reactive immunity was at play. Along with younger age & less obesity, this is protecting India https://twitter.com/vincentrk/status/1296404093343326209

People are often quick to criticize the numbers. But keep in mind you can miss asymptomatic or mildly symptomatic cases. But you cannot hide 10 times more deaths or ICU admissions.

This is real. And is not explained by just younger age and less obesity.

This is more than that. Sometimes epidemiological observations are much more powerful and give better insight than lab studies.

India is a country where social distancing outdoors or indoors is not easy.

We are seeing this play out. It’s staring at us: Cross reactive immunity.

Cross reactive immunity from prior corona virus infections may not be enough to prevent someone from getting COVID. But as I have written before it can protect from severe COVID. Prevent hospitalizations, IVU admissions, and deaths.

Even still it is very important that people in India try their best to social distance, wear masks, and get vaccinated as soon as possible. We already have the worry of mutant strains. @rishika625 https://www.ndtv.com/video/news/coronavirus-facts-vs-myths/how-do-vaccines-work-573839

Do not take chances.

Here is a thread on cross reactive immunity from July by @PSampathkumarMD https://twitter.com/psampathkumarmd/status/1280875999547269122